Pediatric Intraocular Lens Implantation: Historic Perspective and Current Practices

A refined total capsular bag suspension technique for lens subluxation from cystathionine beta-synthase deficiency: A case report and literature review

“…Conventional anterior chamber IOL implantation or iris fixation IOL operation have been reported with a number of potential complications, such as corneal endothelial decompensation, peripheral anterior synechiae, iris depigmentation, and secondary glaucoma. 12 Besides, the range of indications for anterior segment IOL implantation is limited and there are a number of ocular conditions that need to be considered, such as the integrity of iris, pupil diameter, anterior chamber depth, corneal endothelial cell density etc.…”

New Management Strategies for Ectopia Lentis

“…These lenses have been associated with iritis, pigment dispersion, glaucoma, hyphema, corectopia, iris-sphincter erosion, corneal endothelial decompensation, and cystoid macular edema. [55][56][57][58] Many of these side effects occurred with either open-loop or iris-fixated AC-IOLs. 58 Although the newer open-loop design is less associated with the above risks, 57 such complications in the pediatric population are more likely to occur over time given the obvious longer life expectancy of children.…”

“…[55][56][57][58] Many of these side effects occurred with either open-loop or iris-fixated AC-IOLs. 58 Although the newer open-loop design is less associated with the above risks, 57 such complications in the pediatric population are more likely to occur over time given the obvious longer life expectancy of children. For this reason, AC-IOLs are not typically the first choice in pediatric patients with ectopia lentis who require lensectomy; however, they may be considered in the absence of adequate capsular support.…”

“…70 Some authors support using a 9-0 instead of 10-0 polypropylene suture to decrease the risk of suture breakage. 58,68…”